多巴胺在冠状动脉介入治疗中急性闭塞合并血液动力学障碍的应用价值(摘要)

• 作 者: 马长生 周玉杰 王勇 颜红兵 李宪伦 张晓 郑知刚 李霄 柯元南
• 机 构: 中日友好医院心内科,中日友好医院心内科,中日友好医院心内科,中日友好医院心内科,中日友好医院心内科,中日友好医院心内科,中日友好医院心内科,中日友好医院心内科,中日友好医院心内科
• 出 处: 中国循环杂志
• 发表日期: 1999年S1期
• 关键词: 血液动力学 急性闭塞 多巴 介入治疗 鞘管 穿刺股静脉 心搏量 低血压休克 心脏泵功能 静脉输注

Objective: Application of dopamine to increase cardiac output and blood pressure and to win the early opportunity to restore coronary blood flow in acute occlusion with hemodynamic compromise during coronary intervention is reported Methods: For the patients with high risk of hemodynamic compromise, dopamine (60 mg/100 ml) was prepared and connected to the intravenous sheath during coronary intervention, ready to be infused whenever it was needed Results: 57% of 605 patients included in this study were connected with prepared dopamine during PTCA procedure, and 11 of 13 cases with hypotension and shock received prompt dopamine infusion with a result of systolic BP increasing to >90 mmHg making the further interventional therapy possible Systolic BP pre and post infusion was 71 2±11 6 mmHg and 115 0±7 0 mmHg, respectively The dopamine infusion sustained for 21 8±9 5 min and dosage of dopamine was 60 6±18 9 (35～90) mg All patients had excellent results without complications Conclusion: Application of dopamine is a realible and important method to treat acute complications during coronary intervention

Objective: Application of dopamine to increase cardiac output and blood pressure and to win the early opportunity to restore coronary blood flow in acute occlusion with hemodynamic compromise during coronary intervention is reported Methods: For the patients with high risk of hemodynamic compromise, dopamine (60 mg / 100 ml) was prepared and connected to the intravenous sheath during coronary intervention, ready to be infused whenever it was needed Results: 57% of 605 patients included in this study were connected with prepared dopamine during PTCA procedure, and 11 of 13 cases with hypotension and shock received prompt dopamine infusion with a result of systolic BP increasing to> 90 mmHg making the further interventional therapy possible Systolic BP pre and post infusion was 71 2 ± 11 6 mmHg and 115 0 ± 70 mmHg, respectively The dopamine infusion sustained for 21 8 ± 9 5 min and dosage of dopamine was 60 6 ± 18 9 (35-90) mg All patients had excellent results with out complications Conclusion: Application of dopamine is a realible and important method to treat acute complications during coronary intervention